FIELD OF THE INVENTION
[0001] The invention relates to a tool for removing a cap from a medical injection device.
BACKGROUND OF THE INVENTION
[0002] A medical injection device comprising a needle is generally closed by a cap that
protects the needle from external shocks and/or contamination, ensures a fluid-tight
closure for the content of the medical injection device, and also protects a user
from needle stick injuries. Depending on the application, the cap may be a needle
shield made of a soft material, such as rubber, TPE (thermoplastic elastomer) or another
elastomer, a rigid shield made of a substantially rigid material, such as plastic,
or a rigid needle shield comprising a needle shield arranged in a rigid shield.
[0003] When the cap is placed on the medical injection device, the needle tip penetrates
a distal portion of the needle shield if any, or is at a distance of the inner surface
of the rigid shield, in the absence of any needle shield. Besides, the proximal portion
of the cap is in contact with the distal end of the barrel of the medical container.
[0004] The cap is designed so as to require a certain pull-out force to be removed. Said
pull-out force has to be sufficiently high so as to avoid any accidental removal of
the cap. However, if the pull-out force is too high, the medical injection device
is not convenient for use by a patient or medical staff. Indeed, since the outer surface
of the cap is substantially smooth and/or since the cap is substantially small, the
user may not grip it properly.
[0005] In particular, when the medical injection device is provided with a safety device,
which is intended to protect the needle tip after the injection, the safety device
itself may hinder access to the cap.
[0006] Cap removers have been proposed to assist the removal of the cap.
[0007] However, such cap removers may not be fully satisfactory. In particular, the cap
remover is usually brought into contact with the cap by an axial movement of the cap
remover in the proximal direction. During this movement, the cap remover may exert
an effort onto the cap in the proximal direction. Depending on its intensity, such
an effort may cause the medical injection device to be withdrawn from the safety device,
cause the needle to pierce the soft material if any and bring back small residues
of the soft material (said effect is called coring), and/or deform the needle. This
may also result in a loss of tightness between the cap and the medical injection device.
SUMMARY OF THE INVENTION
[0008] A goal of the invention is to provide a tool for removing a cap that is easy to use
and that prevents any coring of the inner shield (if any) during manipulation of said
tool.
[0009] To that end, an object of the invention is a tool for removing a cap from a medical
injection device comprising a body and a needle extending distally from the body,
the cap covering the needle, said tool being characterized in that it comprises a
pair of opposite jaws connected by an elastic interface, each jaw comprising:
- a distal portion forming a distal clamp configured to surround at least a part of
the cap;
- a proximal portion forming a proximal clamp configured to be removably axially fixed
to a body of the medical injection device;
the elastic interface forming a fulcrum located between the distal and proximal portions
such that a pinching force exerted radially inwardly onto the distal portion of the
jaws causes the proximal portion of the jaws to expand radially outwardly;
the tool being operable between:
- a rest position wherein the proximal portion of the jaws rigidly engages the body
of the medical injection device, the distal portion of the jaws being distant from
the cap, and
- an operative position wherein the distal portion of the jaws is pinched so that said
distal portion engages the cap and the proximal portion disengages from the body of
the medical injection device.
[0010] In the present text, the terms "tool for removing a cap", "cap removal tool" and
"removal tool" designate the same object.
[0011] In the present text, the cap may be a needle shield made of a soft material, such
as rubber or another elastomer, a rigid shield made of a substantially rigid material,
such as plastic, or a rigid needle shield (usually designated by acronym RNS) which
comprises a needle shield arranged in a rigid shield.
[0012] In the present text, the distal end of the medical injection device should be understood
as meaning the end farthest from the hand of the user handling the medical injection
device and the proximal end must be understood as meaning the end closest to the hand
of said user. As such, the distal direction should be understood as the direction
farther away from the hand of the user, and the proximal direction is the opposite
direction, i.e., the direction towards the hand of the user. The proximal and distal
directions are parallel to the needle. The radial direction should be understood as
the direction perpendicular to the proximal and distal directions. As far as the cap
removal tool is concerned, the terms "distal" and "proximal" are also used with reference
to the medical injection device and not with reference to the hand of the user manipulating
the removal tool. In other words, a distal end of the cap removal tool is farthest
from the medical injection device than a proximal end of the cap removal tool, although
the user may handle said distal part to use the cap removal tool.
[0013] Such a cap removal tool has the advantage of not exerting any axial effort onto the
cap in the proximal direction, either when the cap removal tool is connected to the
medical injection device or when the cap removal tool is operated to remove the cap
from the medical injection device.
[0014] According to an embodiment, the distal portion of each jaw comprises a gripping section
extending on an inner surface thereof. Such a gripping section ensures a sufficient
engagement of the distal clamp with the cap so as to facilitate the removal of the
cap when the cap removal tool is pulled in the distal direction.
[0015] According to an embodiment, said gripping section comprises at least one pad made
of a soft material configured to generate a frictional engagement with the cap when
the tool is in the operative position. Said soft material may be selected from: rubber,
SBS (styrene-butadiene-styrene block copolymer), SEBS (styrene-ethylene-butadiene-styrene
block copolymer) and polyurethane.
[0016] Alternatively, the gripping section of each jaw comprises at least one blade configured
to grip into the cap when the tool is in the operative position. Said blade may be
made of stainless steel.
[0017] According to an embodiment, the distal portion of each jaw comprises a gripping zone
extending on an outer surface thereof. Said gripping zone is configured to provide
a better handling of the cap removal tool by the user, especially when pulling the
cap removal tool in the distal direction.
[0018] According to an embodiment, the distal portion of each jaw comprises a locking mechanism
configured to lock the distal clamp in the operative position. Thanks to such a locking
mechanism, the user only has to exert a pulling force onto the distal clamp in the
distal direction to remove the cap. Said locking mechanism may be formed of interlocking
elements facing each other on said distal portions of the jaws.
[0019] According to an embodiment, the proximal portion of each jaw is configured to provide
a snap-in engagement with the body of the medical injection device in the rest position.
[0020] According to an embodiment, the jaws comprise a rigid polymeric material, such as
ABS (acrylonitrile butadiene styrene), PC (polycarbonate), PC/ABS (polycarbonate/
acrylonitrile butadiene styrene) or POM (polyoxymethylene).
[0021] Another object of the invention is a medical injection assembly comprising a medical
injection device including a body, a needle extending distally from the body and a
cap covering the needle, and a cap removal tool as described above, wherein the proximal
portion of the jaws rigidly engages the body of the medical injection device and the
distal portion of the jaws is distant from the cap.
[0022] According to an embodiment, the medical injection device comprises a safety device
and the proximal portions of the jaws engage a part of said safety device.
[0023] According to another embodiment, the medical injection device comprises a syringe
and the proximal portion of the jaws engages a part of said syringe.
[0024] Another object of the invention is a method for removing a cap from a medical injection
device. Said method, comprises the following successive steps:
- providing a cap removal tool as described above;
- engaging the proximal portion of the jaws onto a body of the medical injection device
without contacting the cap, the tool being in the rest position;
- pinching the distal portion of the jaws so as to engage the cap, the tool being in
the operative position;
- pulling the distal portion of the jaws in the distal direction to remove the cap from
the medical injection device.
BRIEF DESCRIPTION OF THE FIGURES
[0025] Further features, effects and advantages of the invention will appear in the detailed
description to follow, based on the appended drawings, wherein:
- FIG. 1 illustrates a cap removal tool according to an embodiment of the invention,
before its assembly to a safety device;
- FIG. 2 illustrates the cap removal tool of FIG. 1 during its assembly to the safety
device;
- FIG. 3 illustrates the assembly of FIG. 2 before its coupling to a medical injection
device provided with a cap;
- FIG. 4 illustrates the medical injection device of FIG. 3 with the assembly coupled
thereto;
- FIG. 5 illustrates the application of a pinching force onto the distal portion of
the cap removal tool of FIG. 4;
- FIG. 6 illustrates the removal of the cap from the medical injection device of FIG.
5;
- FIG. 7 illustrates a cap removal tool according to another embodiment of the invention.
DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
[0026] The cap removal tool comprises a pair of opposite jaws that are connected by an elastic
interface about which they are pivotable.
[0027] Each jaw comprises a distal portion configured to surround at least a part of the
cap, and a proximal portion configured to cooperate with a part of the medical injection
device distinct from the cap. More precisely, the medical injection device preferably
comprises a body from which a needle extends distally. The body may be a barrel of
a syringe, a housing of a safety device surrounding the barrel of the syringe, a housing
of an injector configured to receive the barrel of a syringe, an ergonomic shell,
etc.
[0028] The proximal portions of the jaws preferably comprise connection means configured
to axially attach the removal tool to the body of the medical injection device. The
connection means are configured to axially fix the removal tool to the body. The connection
means may comprise one or several of the followings elements: snap features, one or
several hook(s), one or several protrusions. Such an attachment is reversible, meaning
that the removal tool can be detached from the body of the medical injection device.
[0029] The distal portions of the jaws preferably comprise a gripping section configured
to grip the cap.
[0030] The elastic interface that connects the jaws forms a fulcrum located between the
distal and proximal portions, such that a pinching force exerted radially inwardly
onto the distal portion of the jaws causes the proximal portion of the jaws to expand
radially outwardly. Conversely, a pinching force exerted radially inwardly onto the
proximal portion of the jaws causes the distal portion of the jaws to expand radially
outwardly. In other words, the proximal portions of the jaws together form a proximal
clamp, whereas the distal portions of the jaws together form a distal clamp, said
clamps operating in opposition to each other. When the proximal clamp is closed, the
distal clamp is open and conversely, when the proximal clamp is open, the distal clamp
is closed.
[0031] Thanks to this structure, the cap removal tool is operable between the following
positions:
- a rest position wherein the proximal portion of the jaws is axially fixed to a part
of the medical injection device (the proximal clamp being closed), the distal portion
of the jaws being distant from the cap (the distal clamp being open), and
- an operative position wherein the distal portion of the jaws is pinched so that said
distal portion engages the cap (the distal clamp being closed) and the proximal portion
of the jaws disengages from the medical injection device (the proximal clamp being
open).
[0032] In rest position, the proximal clamp is closed and the connection means engage the
body so that the removal tool is axially fixed relative to the body, while the distal
clamp is open and the removal tool does not contact the cap. In operative position,
the proximal clamp is open, the connection means do not engage the body of the medical
injection device, while the distal clamp is closed so that the gripping section engages
the cap so that when the removal tool is axially pulled, the cap is axially pulled
together with the removal tool.
[0033] In rest position, the connection between the proximal clamp and the body of the medical
injection device provides an axial abutment for the cap removal tool relative to the
body of the medical injection device in the proximal direction. Said connection may
be provided by any suitable means providing an axial fixation of the cap removal tool
to the medical injection device, such as a hook, a snap-in connection, a bayonet,
etc.
[0034] In operative position, the distal clamp is configured to pinch the cap so that when
the removal tool is pulled from the medical injection device the cap is pulled with
the removal tool. According to an embodiment, the rest position is the position of
the cap removal tool when the medical injection device is being stored, until a user
prepares for an injection. The cap removal tool is then moved to the operative position
to remove the cap from the medical injection device so as to expose the needle tip
in order to carry out the injection.
[0035] The cap removal tool may be used with any medical injection device. In some embodiments,
the medical injection device may be a syringe alone. In other embodiments, the medical
injection device may be a syringe equipped with any type of safety device or with
any shell surrounding at least part of the syringe. For example, the shell could be
an ergonomic shell configured to ease the manipulation of a syringe. The medical injection
device could also be an auto-injector or a manual injector.
[0036] FIG. 1-6 illustrate an embodiment of the cap removal tool according to the invention,
designed to cooperate with an ergonomic shell intended to be clipped onto a medical
container.
[0037] With reference to FIG. 1, the cap removal tool 1 is first provided separately from
the ergonomic shell 2. The shell 2 comprises a proximal portion 21 adapted to be coupled
to the proximal end of a syringe (see FIG. 4) and a distal portion 20 comprising a
radial flange 22.
[0038] The cap removal tool 1 comprises a pair of opposite jaws 10, 11. Each jaw 10, 11
comprises a respective distal portion 10b, 11b and a respective proximal portion 10a,
11a that is intended to be coupled to a distal end of the shell 2. The junction between
the distal and proximal portion of each jaw is rigid, meaning that it does not deform
during operation of the tool. The interface 12 that connects the jaws between the
distal and proximal portions is elastic and forms a fulcrum about which the jaws are
pivotable.
[0039] The distal portions 10b, 11b of the jaws together form a distal clamp that can be
operated between an open and a closed position. Similarly, the proximal portions 10a,
11a of the jaws together form a proximal clamp that can be operated between an open
and a closed position opposite to the position of the distal clamp.
[0040] The proximal portion 10a, 11a is advantageously configured to provide a snap-in engagement
with the shell 2, or more generally with the body of the medical injection device.
To that end, the proximal ends 10a, 11a present a hook shape, which provides a mechanical
connection with the flange 22. The hook shape preferably substantially corresponds
to the shape of the radial flange 22. However, in other embodiments, the shell may
not comprise such a flange. For example, the body of the medical injection device
may comprise grooves or holes formed in its outer surface, and the proximal portions
10a, 11a may be configured to engage said grooves or holes. In case the body of the
medical injection device does not comprise any specific snap-in feature, the proximal
portions of the jaws may simply be configured to be applied onto the outer surface
of the body.
[0041] In the initial position shown in FIG. 1, both distal and proximal clamps are half-way
open.
[0042] Referring to FIG. 2, to assemble the cap removal tool 1 to the shell 2, the cap removal
tool 1 is pushed onto the distal end of the shell. Under this pushing force, the clamp
formed by the proximal portions 10a, 11a opens until the hooks pass over the flange
22 whereas the clamp formed by the distal portions 10b, 11b closes.
[0043] Then, once the hooks extend over the periphery of the flange 22 (see FIG. 3), the
clamp formed by the distal portions 10b, 11b opens again.
[0044] FIG. 3 represents the rest position of the cap removal tool 1. In this position,
the removal tool is axially fixed to the shell. The distal portions 10b, 11b of the
jaws are spaced one from each other, such that a cap may inserted into the removal
tool without radially contacting the distal portions 10b, 11b of the jaws.
[0045] After the removal tool 1 has been coupled to the shell, an assembly comprising a
syringe 4 comprising a needle (not shown) and a cap 3 protecting the needle, and a
safety device 5 coupled to the syringe, is inserted into the shell. Advantageously,
the safety device 5 is clipped into the shell 2. The assembly comprising the syringe,
the cap and the safety device may be inserted in the set comprising the shell and
the removal tool since the removal tool is configured to not contact the cap as long
as it is fixed to the shell.
[0046] Referring to FIG. 4, once the assembly comprising the safety device 5 and the syringe
has been assembled to the shell 2, the distal portion 10b, 11b of the jaws 10, 11
extends around the cap 3, without contacting it. The internal dimensions of the removal
tool 1 are chosen so as to avoid any contact with the cap 3 when the removal tool
1 is in the rest position. In particular, even in case of a spin movement of the assembly
comprising the safety device and the syringe is imparted by the plunger 6 (indicated
by the arrow), no effort is exerted by the removal tool 1 onto the cap.
[0047] It is to be noted that also in the assembling step of FIG. 3 the removal tool 1 does
not enter into contact with the cap 3. In particular, the hook formed by the proximal
portion of the jaws provides an axial abutment for the removal tool 1 in the proximal
direction, thereby avoiding any axial movement of the cap caused by the removal tool
1.
[0048] Thus, the risk of deformation of the needle, coring of the needle shield (if any)
and resulting loss of tightness is thereby prevented.
[0049] Advantageously, the cap may be visualized thorough an opening arranged between the
jaws.
[0050] Referring to FIG. 5, when the user intends to carry out an injection, he/she pinches
the distal portion 10b, 11b of the jaws to bring them closer to each other in the
radial direction (indicated by the arrows), whereas the proximal portions 10a, 11a
are brought apart from each other.
[0051] The cap removal tool 1 is then in the operative position.
[0052] According to an advantageous embodiment, the distal portion comprises a locking mechanism
configured to lock the distal portions 10b, 11b in the operative position.
[0053] For example, said locking mechanism may be formed of interlocking elements 13a, 13b
facing each other on said members 10b, 11b, with complementary shapes. However, any
other locking feature may be used. The interlocking elements may be placed at an end
of the jaws as represented on figure 1, and/or they may be placed on both sides of
the jaws.
[0054] The locking may be reversible (i.e. allowing unlocking the distal portion) or not.
[0055] When the removal tool 1 is in the operative position, the distal portions 10b, 11b
engage the cap 3. It is to be noted that this engagement does not imply any relative
axial movement of the removal tool 1, but only a radial pressure exerted by the distal
portions 10b, 11b. The risk of deformation of the needle, coring of the inner shield
(if any) and resulting loss of tightness is thereby prevented.
[0056] Preferably, the distal portions 10b, 11b comprise a gripping section 101 extending
on an inner surface thereof.
[0057] According to an embodiment, said gripping section comprises at least one pad made
of a soft material configured to generate a frictional engagement with the cap when
the tool is in the operative position, the pad being urged by the portion 10b, 11b
onto the cap. For example, said soft material may be selected from: rubber, SBS (styrene-butadiene-styrene
block copolymer), SEBS (styrene-ethylene-butadiene-styrene block copolymer) and polyurethane.
The pad is designed so as to have a sufficiently large contact surface with the cap.
[0058] According to an alternative embodiment, the gripping section comprises at least one
rigid blade configured to grip into the cap when the removal tool is in the operative
position. For example, said blade may be made of stainless steel. The blade may have
a single continuous sharp edge or a plurality of teeth. The blade is preferably arranged
radially in a plane perpendicular to the distal direction, in order to avoid any relative
sliding of the blade and the cap.
[0059] In said operative position, the proximal clamp opens sufficiently to free the flange
22 of the shell 2.
[0060] Thus, referring to FIG. 6, the user may withdraw the cap 3 from the medical injection
device by pulling the removal tool 1 in the distal direction (represented by the arrow).
The cap 3 is still maintained in the removal tool 1 by the radial pressure exerted
by the distal clamp.
[0061] Advantageously, the distal portions 10b, 11b of the jaws comprises a gripping zone
102 extending on an outer surface thereof, possibly forming a slight protrusion. Said
gripping zone may be made of a soft material, such as rubber, SBS, SEBS or polyurethane.
The gripping zone provides a better grip for the user's fingers when removing the
cap.
[0062] Thanks to the ergonomics of the distal clamp, the removal tool 1 is a convenient
tool to remove the cap, since it offers to the user an easier access and a better
grip than the cap itself.
[0063] Besides, with the locking mechanism of the distal clamp, once the removal tool is
in operative position, the user only has to perform a simple axial movement in the
distal direction.
[0064] In the absence of such a locking mechanism, the user has to perform a combined pinching
movement, to grip the cap, and axial movement, to pull the cap out of the medical
injection device.
[0065] In addition, the locking mechanism of the distal clamp also has the advantage of
maintaining the cap in the removal tool after its withdrawal from the medical injection
device.
[0066] The jaws 10, 11 may be made of polymeric materials, such as ABS (acrylonitrile butadiene
styrene), PC (polycarbonate), PC/ABS (polycarbonate/ acrylonitrile butadiene styrene)
or POM (polyoxymethylene). The interface 12 is preferably in the same material as
the jaws, with a shape and thickness adapted to provide the required elasticity. The
jaws and the interface may thus be made of a single piece, e.g. made by injection
molding.
[0067] When applicable, the gripping section and/or the gripping zone may be integral with
the distal portions, e.g. by bi-component injection or overmolding. Otherwise, the
gripping section and/or the gripping zone may be fixed to the distal portions, e.g.
by bonding or welding, after the distal portion of each jaw is formed.
[0068] FIG. 7 illustrates another embodiment of the removal tool according to the invention,
adapted to cooperate with the safety device itself, the syringe being clipped into
the safety device. The reference signs that are already present in FIGS. 1-6 represent
the same components.
[0069] The design of the removal tool 1 is slightly different to accommodate the design
of the safety device 5. However, it is operated in the same way as described above.
[0070] Of course, the device may be used with other types of medical injection devices or
safety devices. The skilled person is able to design the proximal part of the cap
removal tool to be able to engage the syringe, shell or safety device.
[0071] Advantageously, the product provided to the user comprises the syringe, the safety
device (if any), the shell (if any) (all forming the medical injection device), the
cap and the cap removal tool already assembled together, in a protective packaging.
[0072] According to an embodiment, the cap removal tool is in the rest position (as shown
in FIG. 4). The user thus has to pinch the distal portions to close the distal clamp
and then pull the cap out of the medical injection device.
[0073] Alternatively, the cap removal tool may be locked in the operative position (as shown
in FIG. 5) during the assembly at the manufacturing plant. Thus, the user only has
to exert a pulling force in the distal direction to remove the cap. Even if the cap
removal tool is in contact with the cap before being delivered to the user, since
the assembly is in a protective packaging, the cap is not subjected to any axial effort,
and the risk of damaging the cap or losing integrity or tightness is low.
[0074] Although not illustrated, the cap removal tool can also be connected directly to
the syringe.
1. Tool (1) for removing a cap (3) from a medical injection device comprising a body
and a needle extending distally from the body, the cap covering the needle, said tool
being
characterized in that it comprises a pair of opposite jaws (10, 11) connected by an elastic interface (12),
each jaw comprising:
- a distal portion (10b, 11b) forming a distal clamp configured to surround at least
a part of the cap;
- a proximal portion (10a, 11a) forming a proximal clamp configured to be removably
axially fixed to a body of the medical injection device;
the elastic interface forming a fulcrum (12) located between the distal and proximal
portions such that a pinching force exerted radially inwardly onto the distal portion
(10b, 11b) of the jaws causes the proximal portion (10a, 11a) of the jaws to expand
radially outwardly;
the tool being operable between:
- a rest position wherein the proximal portion (10a, 11a) of the jaws rigidly engages
the body of the medical injection device, the distal portion (10b, 11b) of the jaws
being distant from the cap, and
- an operative position wherein the distal portion (10b, 11b) of the jaws is pinched
so that said distal portion (10b, 11b) engages the cap and the proximal portion (10a,
11a) disengages from the body of the medical injection device.
2. Tool according to claim 1, wherein the distal portion (10b, 11b) of each jaw comprises
a gripping section (101) extending on an inner surface thereof.
3. Tool according to claim 2, wherein said gripping section (101) comprises at least
one pad made of a soft material configured to generate a frictional engagement with
the cap when the tool (1) is in the operative position.
4. Tool according to claim 3, wherein said soft material is selected from: rubber, SBS
(styrene-butadiene-styrene block copolymer), SEBS (styrene-ethylene-butadiene-styrene
block copolymer) and polyurethane.
5. Tool according to one of claims 2 to 4, wherein the gripping section (101) of each
jaw comprises at least one blade configured to grip into the cap when the tool is
in the operative position.
6. Tool according to claim 5, wherein said blade is made of stainless steel.
7. Tool according to one of claims 1 to 6, wherein the distal portion (10b, 11b) of each
jaw comprises a gripping zone (102) extending on an outer surface thereof.
8. Tool according to any of claims 1 to 7, wherein the distal portion (10b, 11b) of each
jaw comprises a locking mechanism configured to lock the distal clamp in the operative
position.
9. Tool according to claim 8, wherein said locking mechanism is formed of interlocking
elements (13a, 13b) facing each other on said distal portions (10b, 11b).
10. Tool according to one of claims 1 to 9, wherein the proximal portion (10a, 11a) of
each jaw is configured to provide a snap-in engagement with the body of the medical
injection device in the rest position.
11. Tool according to one of claims 1 to 10, wherein the jaws (10, 11) comprise a rigid
polymeric material, such as ABS (acrylonitrile butadiene styrene), PC (polycarbonate),
PC/ABS (polycarbonate/ acrylonitrile butadiene styrene) or POM (polyoxymethylene).
12. Medical injection assembly comprising:
- a medical injection device including a body, a needle extending distally form the
body and a cap (3) covering the needle, and
- a tool (1) according to one of claims 1 to 11,
wherein the proximal portion (10a, 11a) of the jaws rigidly engages the body of the
medical injection device and the distal portion (10b, 11b) of the jaws is distant
from the cap (3).
13. Medical injection assembly according to claim 12, wherein the medical injection device
comprises a safety device (2) and the proximal portion (10a, 11a) of the jaws engage
a part (22) of said safety device.
14. Medical injection assembly according to claim 13, wherein the medical injection device
comprises a syringe and the proximal portion (10a, 11a) of the jaws engages a part
of said syringe.
15. Method for removing a cap (3) from a medical injection device (2), comprising the
following successive steps:
- providing a tool (1) according to one of claims 1 to 11;
- engaging the proximal portion (10a, 11a) of the jaws onto a body of the medical
injection device without contacting the cap (3), the tool (1) being in the rest position;
- pinching the distal portion (10b, 11b) of the jaws so as to engage the cap (3),
the tool (1) being in the operative position;
- pulling the distal portion (10b, 11b) of the jaws in the distal direction to remove
the cap (3) from the medical injection device.